Job Details

Position Description

The RN Field Case Manager for the STAR Kids Program will manage the care of members in their homes or other community settings by completing in-person health assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent.

If you are located in Katy or Sugar Land, Texas, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

Engaging members / families in their homes or in a facility to coordinate services, community resources and treatment needs

Travel in assigned territory as needed to complete member assessments; the rest of the time will be spent working in a home-based office

Delivering a holistic approach to coordinated care based on the member’s needs using a person centered approach

Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file

Creating, reviewing and revising care plans and focusing on a holistic approach

Functioning as an advocate for member

Collaborating with the member's PCP to deliver and coordinate necessary services

Building relationships with members and their families; assisting them with coordination of health choices

Ensuring cases are documented in a timely manner

Coordination with other state agencies, community resources and providers

Required Qualifications:

RN License, must be current and unrestricted in state of Texas

3 + years of recent experience as a RN in case management, Home Health or clinical experience in acute, rehab or long term care setting

High Speed Internet access in home

Strong computer proficiency to include the ability to use Microsoft Word, Outlook and Internet on a daily basis

Access to reliable transportation and willingness to travel throughout surrounding area on regular basis

Home Health experience

Pediatric experience

Preferred Qualifications:

Experience with Medicare and / or Medicaid

MDCP (Medically Dependent Children's Program) experience

Bachelor's Degree or Higher

Case Management experience

Managed care experience

Bilingual (Spanish)

CCM certification

Experience with complex populations

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Job Location Information

Additional Job Detail Information

Employee StatusRegular

ScheduleFull-time

Job LevelIndividual Contributor

ShiftDay Job

TravelNo

Telecommuter PositionYes

Overtime StatusExempt

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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.